Contraceptive options

Question 1

most common reason for teens not to use condom

Answer 1

using another birth control method

Question 2

condom failure rate with typical and perfect use

Answer 2

typical: 14%
perfect: 3%

Question 3

most common condom errors

Answer 3

after penetration, no space at tip, removed before ejac

Question 4

how long before sex is femal condom good for

Answer 4

8 hours

Question 5

female condom failure rate with typical and perfect use

Answer 5

typical: 21%
perfect: 5%

Question 6

adv of female condom

Answer 6

longer life, female controlled

Question 7

diaphragm failure rate with typical and perfect use

Answer 7

typical: 20%
perfect: 6%

Question 8

side effects of diaphragm

Answer 8

UTIs, discharge, irritaiton

Question 9

sponge failure rate with typical and perfect use

Answer 9

typical: 32 parous, 16 nulliparous%
perfect: 20 parous%, 9 mulli

Question 10

SE of sponge

Answer 10

spermicide irritation, no STI protection, no use with menses

Question 11

3 morning after options

Answer 11

1. plan B- progerterone
2. Yuzpe - E and prog
3. copper IUD

Question 12

when to take morning after

Answer 12

ASAP - plan B/Yuzpe - 72 hours

IUD 5-7 days

Question 13

when to prescribe morning after

Answer 13

any time! give in advance to enhance

Question 14

4 things estradiol and prog. do

Answer 14

1. supress ovulation
2. thin endometrium
3. thicken cervical mucous
4. inhibs tubal peristalsis

Question 15

pill failure rate with typical and perfect use

Answer 15

typical: 3%
perfect: 0.1-0.3

Question 16

adv of pill

Answer 16

1. cycle regulation
2. less menses flow
3. less dysmennohrea
4. less acne hirsuitism
5. less cancer

Question 17

risk of pill

Answer 17

1. venous thromboembolism
2. spotting
3. breast tnederness and nausea

Question 18

cancer risks in OCP

Answer 18

1. slight incr. in breast
2. cervical cancer may progress faster
3. reduces rate of ovarian and uterine

Question 19

absolute contrindications for OCP

Answer 19

1. <6 weeks breastfeeding
2. smoker over 35
3. hypertension
4. venous thromboembolism
5. ischemic heart disease
6. cerebrovasuclar accident
7. abnormal uterine bleeding
8. pregancy

Question 20

what to do for missed pills

Answer 20

1 pill- take ASAP
2 pills - during week 1-2: 2 on day remember and 2 next day
2 pills- during week 3: discard pack and start again
more than 2: start new pack and use emerg. contraception for 7 days

Question 21

2 other OCP timing options

Answer 21

1. continuous - no tablet free interval

2. extended - seasonique - multiple cycles

Question 22

what is in patch

Answer 22

E and prog

Question 23

how often is patch used

Answer 23

1 per week for 3 weeks and then 1 off

Question 24

patch failure rate with typical and perfect use

Answer 24

typical: 8%
perfect: 0.3

Question 25

patch contrindications

Answer 25

same as pill and may be less effective in >90kg

Question 26

ring failure rate with typical and perfect use

Answer 26

typical: 8%
perfect: 0.3

Question 27

3 ring SEs

Answer 27

1. vaginitis
2. leukorrhea
3. discomfort

Question 28

what is progestin only

Answer 28

IM injection q12-13 weeks

Question 29

adv of prog only

Answer 29

can be used in women with contraindication for E

Question 30

SE of prog only (3)

Answer 30

1. no menses
2. weight gain
3. hormonal SE

Question 31

2 risk of prog only

Answer 31

1. slow return to fert

2. decreased bone density

Question 32

hormonal IUD failure rate with typical and perfect use

Answer 32

typical: 0.1%
perfect: 0.1

Question 33

copper IUD IUD failure rate with typical and perfect use

Answer 33

typical: 0.8%
perfect: 0.8

Question 34

risk for IUD

Answer 34

1. perf.
2. expulsion
3. infection